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Veterinarians at CDC Jennifer Gordon Wright, DVM, MPH, DACVPM Auburn University, 1998

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Presentation on theme: "Veterinarians at CDC Jennifer Gordon Wright, DVM, MPH, DACVPM Auburn University, 1998"— Presentation transcript:

1 Veterinarians at CDC Jennifer Gordon Wright, DVM, MPH, DACVPM Auburn University, 1998

2 Presentation Today Why veterinarians and public health? How I came to be where I am Opportunities for employment Veterinarians at CDC How can you start a career in the federal or state government?

3 Public Health “ is what we, as a society, do collectively to assure the conditions in which people can be healthy.” Institute of Medicine, The Future of Public Health, 1988

4 Being admitted to the profession of veterinary medicine, I solemnly swear to use my scientific knowledge and skills for the benefit of society through the protection of animal health, the relief of animal suffering, the conservation of animal resources, the promotion of public health, and the advancement of medical knowledge. Serving the Nation in All Components of the Veterinary Oath

5 Links Between Human and Animal Health Foodborne Disease Emerging Diseases Bio- Agro- Terrorism Injuries Occupational Health Mental Health Environmental Health Antibiotic Resistance

6 Emerging and Re-emerging Zoonoses, 1996–2005 Recent outbreaks Influenza / Madagascar CCHF / Afghanistan, Iran Tularemia / USA, Kosovo Yellow fever / Ivory Coast Brucellosis / Mongolia E. coli 0157 / Canada Hantavirus / US BSE-vCJD/ UK Nipah virus / Malaysia Avian Influenza / Hong Kong West Nile / USA, Canada Ebola / Gabon, Congo BSE /Canada Monkeypox / DRC/ US SARS / Global Avian Influenza H5N1

7 Veterinarians Preventing Zoonoses in Clinical Practice Rabies Ascarids and Hookworms Toxoplasmosis Cat Scratch Fever Salmonellosis Scabies, ringworm Brucellosis; Undulant fever Psittacosis Tick-borne diseases Other

8 The long and winding road… Bachelor of Science in Microbiology, Auburn University Interest in working at CDC, but in what capacity? DVM from Auburn University, 1998 Planned a career in small animal practice Turning point – a lecture in sophomore PH lecture about a human case of plague Went into practice for a few years Found the EIS program while searching the web for jobs Began MPH work in 2000, worked at CDC Entered EIS in July 2002


10 History of CDC 1946 - Communicable Disease Center founded in Atlanta by Dr Joseph W Mountin 400 employees, mostly engineers and entomologists working on malaria prevention Original focus on vectorborne and zoonoses Growing awareness that expansion to all communicable diseases was necessary

11 CDC in 1944 Return to top.

12 1950 – Korean War –threat of biological warfare loomed Dr Alexander Langmuir – emphasis on epidemiology and surveillance to guard against threats to public health Created CDC’s Epidemic Intelligence Service (EIS)  “Disease Detectives” History of CDC continued

13 Key CDC Successes 1955: Surveillance data used to trace polio and influenza epidemics, leading to national guidelines for use of vaccines 1962 – 1977: Global smallpox eradication Mid 1970s – 1980s: Identified the cause of Legionnaires Disease and toxic-shock syndrome 1981: Acquired Immunodeficiency Syndrome first mentioned in MMWR

14 CDC today One of 13 components of DHHS >8000 employees Headquarters – Atlanta, Morgantown, Ft. Collins, Cincinnati, Hyattsville State health departments International reputation Applies research and findings to improve daily lives Respond to health emergencies Not just infectious diseases Chronic diseases, injuries, workplace hazards, disabilities, environmental health threats

15 CDC in 2006 “ The function of developing and protecting health must rank even above that of restoring it when it is impaired. “ Hippocrates

16 How CDC operates Jurisdiction over: Cruise ships docking in US ports Importation of people/animals with communicable disease Otherwise, need invitation of the state or reservation to assist

17 Veterinarians at CDC As of December 2005

18 Veterinarians at CDC Epidemiologists Laboratory animal veterinarians Laboratory research Health Educators

19 Epidemiologists EIS program Outbreak investigations Research and surveillance Policy recommendations

20 What is the EIS Program? Epidemic Intelligence Service (aka “Disease Detectives”) Established in 1951 Mission: To prevent & control communicable diseases A 2 year training program in applied epidemiology Domestic and International Service Respond to Requests for Epidemiologic Assistance

21 EIS continued 55-75 officers, 6-9% are veterinarians Applications are due in October for the following year’s class Additional training or experience in public health encouraged prior to application

22 E. coli Malaria Cryptosporidiosis Legionnaires' Disease/Norwalk virus Copper in drinking water Norwalk Virus Hanta Virus TB in immigrants Lead screening Cyclosporiasis Bombing Hurricane Hugo Where do EIS Officers Train? West Nile Virus/Anthrax Forest Fires Hurricanes

23 Polio Eradication: Ghana and Nepal

24 Cost of effectiveness of Brucella vaccine, Egypt

25 Tularemia outbreak, Martha’s Vineyard

26 Oral Rabies Vaccine Effectiveness

27 Q fever outbreak, Bosnia-Herzegovina

28 Collecting bats in the Philippines, 1998

29 Sept 11, 2001 – New York City

30 Anthrax letters, 2001

31 FMD Surveillance, UK May 2001 Serosurvey of sheep to lift quarantine in infected areas

32 Rocky Mountain Spotted Fever, Arizona, 2004

33 Norwalk virus outbreaks on cruise ships, 2002

34 Monkeypox Outbreak, 2003

35 E. coli Outbreaks in Petting Zoos

36 Response to Hurricanes Katrina and Rita, 2005

37 Collecting swamp water for Leptospirosis testing, Florida, 2005

38 Laboratory Animal Veterinarians Care for CDC research animals Horses, non-human primates, rabbits, ferrets, etc Instrumental during Monkeypox outbreak for arranging transport of potentially infected animals from the Midwest for testing purposes Laboratory animal medicine residency/board certification desirable, but not 100% necessary to work in the office

39 Laboratory research Influenza, Salmonella, E. coli, parasitic diseases, as a few examples Additional schooling – MS or PhD necessary to assist in most laboratories Emerging Infectious Diseases Fellowship

40 Health Educators Healthy Pets, Healthy People website Consultations to TV shows Publicize important health messages “House MD” – message on 3/7 episode regarding risks of eating unpastuerized cheese Prudent use of antimicrobials in veterinary curriculum Develop educational activities around outbreak investigation/research findings

41 Student/Recent Graduate Opportunities State and local health departments Opportunities with USDA, FDA Public Health Service co-step program* CDC - Summer student employment CDC – Epidemiology elective Emerging Infectious Diseases fellowship * currently limited opportunities due to budget

42 Epidemiology Elective September through June 6-8 weeks Defined project, often a chance to assist with outbreak investigations Deadline: May 30 th of your Junior year No financial support for living expenses, etc; support for investigation related travel

43 Emerging Infectious Diseases Fellowship 1 year program Field of degree must in some way be applicable to research program US Citizens only Application deadline is mid-February each year Must be graduating before start fellowship

44 Personnel Systems Civil Service Commissioned Corps of US Public Health Service Military Services (Air Force, Army) Fellows Contractors

45 USPHS Com Corps Veterinarians Who are we and what do we do? How do you get a job with the Com Corps of the Public Health Service?

46 What are our roles? Emergency Response Force for the Nation

47 Appointment Process Step 1: PHS Application Step 2: Identify vacancy Step 3: Accept offer Step 4: Call to active duty

48 Summary Exciting career opportunities at CDC exist for veterinarians About 35-40% of CDC veterinarians are PHS officers Training programs are important entry points EIS class is a great entry point Epidemiology elective – invaluable experience Additional education (MS, MPH, PhD) a plus


50 Acknowledgments Nina Marano, CDC Marguerite Pappaniou, U Minn Jennifer McQuiston, CDC Diane Gross, CDC Marta Guerra, CDC Steve McLaughlin, CDC Kristy Murray, U Texas - Houston Paul Arguin, CDC Joel Montgomery, CDC Kathy Perdue, NIH Linda Demma, CDC

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